Right middle lobe collapse

Case contributed by Dr Ian Bickle

Presentation

Cough and shortness of breath. Non-smoker.

Patient Data

Age: 55
Gender: Female
X-ray

Triangular shaped opacity medially in the right lower zone, with effacement of the right heart border silhouette.

Subtle volume loss in the right hemithorax.

Left lung clear.  Heart size normal.

Case Discussion

When the right middle lobe collapses, it does so medially, with the collapsed lobe abutting the right atrium, so that the right heart border silhouette is effaced.

CT chest and bronchoscopy are the typical next investigations.

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Case information

rID: 56428
Case created: 1st Nov 2017
Last edited: 2nd Nov 2017
System: Chest
Tags: rdgh, rapids2
Inclusion in quiz mode: Included

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